EDITH MUDOH NPI 1215606686

NPI Information

  • NPI: 1215606686
  • Provider Name: EDITH MUDOH
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 710 CREPE MYRTLE LN
    LONGVIEW, TX
    ZIP 75604
  • Phone: (832) 202-4820

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NPI Details

Edith Mudoh is a family nurse practitioner in Longview, TX. Edith Mudoh NPI is 1215606686. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

710 CREPE MYRTLE LN
LONGVIEW, TX
ZIP 75604-906
Phone: (832) 202-4820

The enumeration date for this NPI number is 9/9/2021 and was last updated on 9/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily1052581TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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